Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements Implementation Questions
A list of the implementation questions relating to the Medicaid work requirements in the 2025 Reconciliation law.
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A list of the implementation questions relating to the Medicaid work requirements in the 2025 Reconciliation law.
Detailed state and national data related to the 2025 Reconciliation Law Medicaid Work Requirements
This policy watch examines recent and anticipated managed care rate setting challenges and the potential implications of MCO exits.
This analysis estimates that 1.2 million uninsured individuals in the ten states without Medicaid expansion, including many working adults, people of color, and those with disabilities, remain in the "coverage gap," ineligible for Medicaid or for tax credits that would make coverage affordable through the Affordable Care Act's Marketplaces.
State Medicaid programs must inform people affected by new work requirements with federally required notices, and most states are planning other types of outreach, including phone calls, public ads, and social media posts. This brief describes the federal outreach requirements and state plans, as well as the complexities and tight implementation timelines states face.
On July 23, KFF and States Newsroom hosted an event focused on the impacts of work requirements and other federal policy changes on states, health care systems, and the people who rely on Medicaid.
Less than a month after CMS released its interim final rule on Medicaid work requirements, 24 states, including DC, sued the Trump administration over its interpretation of the 2025 reconciliation law’s requirements — including most notably the medical frailty exemption.
Chip talks with Dr. Toyin Ajayi, co-founder and CEO of Cityblock Health, which delivers value-based care to more than 100,000 Medicaid and dual-eligible members across ten states, many of them people of color managing chronic conditions. Ajayi makes a pointed case: Roughly 60 percent of health care AI investment goes to billing, coding, and risk adjustment — making sure someone gets paid — while only a fraction goes to delivering care. If we continue to…
This brief describes new guidance and potential challenges states will face in operationalizing the medical frailty exemption.
A majority of states subject to new Medicaid work requirements — 30 of 44 — will hold gubernatorial elections this November, and leadership transitions, particularly those involving a change in party, could complicate state implementation of work requirements.
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